Category: Critical Care

How my son helped me rediscover the art of medicine

When the pediatrician woke me at midnight to get a blood test from my three-month-old son, I knew things were serious. I should have known this already. Four weeks prior, my four-year-old daughter passed along a respiratory virus to my husband, me, and…

I fear that I’m not doing the right thing and I do it anyway

I fear that I’m not doing the right thing. You’re trusting me with your life. I hear you telling me that you don’t want me to do what I am about to do. I see it in your eyes, the resentment as you look toward your family. And hatred for me, your physic…

Death: friend, foe, or something else?

The thing I think would surprise people the most is my relationship with death. I’m a critical care anesthesiologist. It’s an exciting, rewarding field – I tell my medical students and residents that it blends expertise in the human body with mastery o…

How a physician breaks bad news is just as important as the bad news itself

Medicine is an art. One can learn about symptoms, diagnostics, and treatment plans for various diseases, from textbooks and journal articles. It is harder to study empathy, compassion, and human connection from conventional academic resources. The art …

Being a neonatologist and a mother [PODCAST]

“Being a neonatologist and a mother is living with the knowledge that the question ‘What would you do?’ could so easily become real, not hypothetical.  And so what would I do? I don’t know, heartbroken mama. Because I feel too much, b…

Maybe life is happening: the power of language in patient hand-offs

“But if thought corrupts language, language can also corrupt thought.” – George Orwell The “difficult” family At 2 a.m., on my first night shift as a pediatric resident, a patient, Casey, transferred from another hospital. She had a rare, p…

Critical care physicians have been through hell

It was a cold winter morning in January 2021. Another day in the ICU, another day caring for critically ill patients with complex medical conditions, another day caring for patients on their death beds, another day interacting with patients’ families a…

An inability to emotionally deal with failure

General Douglas McArthur said: “However horrible the incidents of war may be, the soldier who is called upon to offer and give his life for his country, is the noblest development of mankind.” The soldier is trained to kill, and they learn to kill well…

Create a positive light in nursing

I was an assistant nurse manager (ANM) in a 24 bed ICU in my younger, energetic years. Before that, I was a manager in a very small emergency department. I must say, I loved it. I loved the thrill and the challenge. I was able to work with the Joint Co…

The aftermath of death

Drip. Drip. Drip. It’s 8:00 p.m. I’m staring at the IV tubing. We forgot to stop the fluids. I’m standing in the resuscitation room alongside the naked, broken body of a teenage male. Unable to break my gaze on that dripping IV line, thinking, We’re go…